Sarah Lopez

Individual provider Active NPI Other Technician · Bingham Farms, MI

NPI 1477090462 · NPPES record last updated Jan 27, 2017

Key facts

NPI
1477090462
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
32100 Telegraph Rd Ste 185
Bingham Farms, MI 48025-2453
Phone
(248) 712-4266
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

32100 Telegraph Rd Ste 185
Bingham Farms, MI 48025-2453

Mailing address

32100 Telegraph Rd Ste 185
Bingham Farms, MI 48025-2453

Other providers in Bingham Farms, MI

All providers in Bingham Farms, MI · Other Technician in Michigan

Sources for this page

Verify at the official NPI Registry.